Takahashi A, Jikko A, Murakami S, Takemori Y, Fujishita M, Fuchihata H
Nihon Ago Kansetsu Gakkai Zasshi. 1989;1(1):1-9.
Temporomandibular joint (TMJ) arthrography is a valuable diagnostic method to evaluate the pathology of soft tissue components of the TMJ. However, arthrography is more or less invasive technique. The aim of this study was to investigate the sort and content of injury following TMJ arthrography. The symptoms before and after the arthrography were compared. In 90 joints that underwent TMJ arthrography, complications such as pain and/or trismus were encountered in 39 joints within one month. Twenty six patients complained of the change of pain conditions including the discomfort. The most common one was the pain on mouth opening. In every joint the pain disappeared within one month without any treatment. There was a high frequency of exacerbated pain in patients with some pain before the arthrography. The change of the degree of maximum opening was recognized in 11 patients. The duration of that condition was somewhat longer than that of pain conditions. In 5 joints with late clicking, 3 developed closed lock. Other complications were swelling, disability of mastication, eczema, hearing impairment and facial paresthesia. All the symptoms disappeared within 1 week without any treatment. From these results it was suggested that TMJ arthrography has low possibility of severe damage to the TMJ although there is some possibility of injury to the bone and soft tissue by arthrographic procedures.
颞下颌关节（TMJ）造影术是评估颞下颌关节软组织成分病理状况的一种有价值的诊断方法。然而，造影术或多或少是一种侵入性技术。本研究的目的是调查颞下颌关节造影术后损伤的种类和内容。比较了造影术前和术后的症状。在接受颞下颌关节造影术的90个关节中，39个关节在1个月内出现了疼痛和/或牙关紧闭等并发症。26例患者抱怨疼痛状况发生了变化，包括不适。最常见的是张口时疼痛。每个关节的疼痛在未经任何治疗的情况下于1个月内消失。造影术前有一定疼痛的患者中，疼痛加剧的频率较高。11例患者出现了最大开口度的变化。这种情况的持续时间比疼痛状况的持续时间略长。在5例晚期弹响的关节中，3例发展为闭口锁结。其他并发症包括肿胀、咀嚼功能障碍、湿疹、听力障碍和面部感觉异常。所有症状在未经任何治疗的情况下于1周内消失。从这些结果可以看出，颞下颌关节造影术对颞下颌关节造成严重损伤的可能性较低，尽管造影操作有一定可能对骨和软组织造成损伤。
